| Vida Medical Centers Pllc | |
|
8101 S Cicero Ave Chicago IL 60652-2017 | |
| (773) 610-8505 | |
| Not Available |
| Full Name | Vida Medical Centers Pllc |
|---|---|
| Speciality | General Practice |
| Location | 8101 S Cicero Ave, Chicago, Illinois |
| Authorized Official Name and Position | Jose Carlo Martinez (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 8152582115 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vida Medical Centers Pllc 8101 S Cicero Ave Chicago IL 60652-2017 Ph: (773) 610-8505 | Vida Medical Centers Pllc 8101 S Cicero Ave Chicago IL 60652-2017 Ph: (773) 610-8505 |
| NPI Number | 1093413049 |
|---|---|
| Provider Enumeration Date | 02/20/2023 |
| Last Update Date | 04/18/2023 |
| Medicare PECOS PAC ID | 3779968284 |
|---|---|
| Medicare Enrollment ID | O20220920002281 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093413049 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Jose Carlo Martinez |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1114555604 PECOS PAC ID: 4688059199 Enrollment ID: I20220920002445 |
| Provider Name | Diana Martinez |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1215314505 PECOS PAC ID: 2668857178 Enrollment ID: I20221017000232 |
| Provider Name | Jovaelis Borges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356051767 PECOS PAC ID: 9537534250 Enrollment ID: I20230412000472 |
Pilsen Pediatrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1952 W Cermak Rd, Chicago, IL 60608 Phone: 773-254-6611 Fax: 773-254-8590 | |
A Kavaliunas Md Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5540 S Pulaski Rd, Chicago, IL 60629 Phone: 773-585-2802 | |
Doc Cam Medical Center Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2315 E 93rd St Ste 337, Chicago, IL 60617 Phone: 773-731-2700 Fax: 773-373-1868 | |
Excellent Eye Care Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5352 N Milwaukee Ave, Chicago, IL 60630 Phone: 773-777-7444 Fax: 773-775-4030 | |
Pediatric General Care & Research Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4527 N Pulaski Rd, Chicago, IL 60630 Phone: 773-267-7060 Fax: 773-267-4752 | |
Urban Family Health Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10830 S Halsted St, Chicago, IL 60628 Phone: 773-264-1400 Fax: 773-264-1401 | |
Premier Primary Care And Alternative Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1301 E 47th Street, Bldg 2 Suite B, Chicago, IL 60653 Phone: 773-891-2890 Fax: 773-891-4107 |